Individual
CASEY BENAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
2123 COLCORD AVE, WACO, TX 76707-2739
(210) 415-4149
Mailing address
2123 COLCORD AVE, WACO, TX 76707-2739
(210) 415-4149
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11444
NC
Other
Enumeration date
06/08/2015
Last updated
12/16/2020
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